Dr Renata Charissa Moore, MD | |
1990 E Lake Shore Dr, Decatur, IL 62521-3811 | |
(217) 464-2900 | |
(217) 464-2909 |
Full Name | Dr Renata Charissa Moore |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 25 Years |
Location | 1990 E Lake Shore Dr, Decatur, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851483572 | NPI | - | NPPES |
036093129 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 036093129 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Care Specialists Of Central Illinois Sc | 5991619116 | 26 |
Entity Name | Cancer Care Specialists Of Central Illinois Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871580142 PECOS PAC ID: 5991619116 Enrollment ID: O20031113000022 |
Mailing Address | Practice Location Address |
---|---|
Dr Renata Charissa Moore, MD 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 Ph: (217) 876-6600 | Dr Renata Charissa Moore, MD 1990 E Lake Shore Dr, Decatur, IL 62521-3811 Ph: (217) 464-2900 |
Dr. Jeffrey Marc Boorstein, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 | |
Soman Nair, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2984 Fax: 217-464-1631 | |
Harold A Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-877-9442 Fax: 217-233-1670 | |
Mrs. Mary Anne Depaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Mr. Edward C Elliott Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Dr. Mark A Muscato, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 |